Individual
JONATHAN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S 10TH ST, PHILADELPHIA, PA 19107-5013
(215) 955-6000
Mailing address
348 TREVOR LN, BALA CYNWYD, PA 19004-2329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT218037
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2019
Last updated
06/11/2019
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